| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $1,559.34 | $4,933.00 | $6,906.00 | |
BCBS
| Facility | $4,983.47 | $5,849.13 | $7,924.64 | |
Health Alliance Plan
| Facility | $1,268.07 | $4,933.00 | $6,906.00 | |
United
| Facility | $4,635.00 | $11,152.00 | $20,268.00 |